A nurse is caring for a toddler who is 24 hr postoperative following a cleft palate repair.
Which of the following actions should the nurse take?
Apply bilateral wrist restraints.
Implement a soft diet.
Administer opioids for pain.
Offer fluids through a straw.
The Correct Answer is C
A. Applying bilateral wrist restraints is not a standard intervention after cleft palate repair.
Restraints should be used judiciously and with clear indications to prevent injury.
B. The baby can start feeding normal diet after 24hrs
C. Administering opioids for pain is an appropriate action by the nurse. Opioids control pain in the immediate postoperative period are followed by administration of acetaminophen PRN.
D. Offering fluids through a straw is contraindicated after cleft palate repair, as it can disrupt the healing process and increase the risk of complications. Sippy cups or other appropriate utensils should be used.
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Related Questions
Correct Answer is D
Explanation
A. Sleep apnea is different from SIDS; SIDS is a sudden, unexplained death during sleep in otherwise healthy infants.
B. SIDS rates have actually been decreasing due to public health campaigns promoting safe sleep practices.
C. There is no direct correlation between SIDS and diphtheria, tetanus, and pertussis vaccines.
SIDS is a multifactorial event, and vaccines have not been shown to cause it.
D. Placing infants on their back to sleep is a key recommendation for reducing the risk of SIDS, as per safe sleep guidelines endorsed by healthcare organizations.
Correct Answer is C
Explanation
A. Ignoring temper tantrums may not be effective in all situations. Some toddlers may escalate their behavior if they feel ignored.
B. Explicitly telling the child that temper tantrums are not acceptable may not be as effective in managing the behavior. Toddlers may not fully understand or respond well to verbal reasoning.
C. Distracting the child with a different activity, such as playing a game, can redirect their attention and help diffuse the situation.
D. Physical restraint is not an appropriate or effective method for managing temper tantrums. It can lead to increased resistance and may cause harm to the child.
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